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Provider Tier Update for Blue Options v. 5 and Hospital Choice Cost Sharing

As a result of favorable improvements in the following hospitals’ cost or quality performance, we are updating their tier in our Blue Options v.5 benefit designs and Hospital Choice Cost Sharing benefit designs. This one-day change is effective for all plans and accounts on January 1, 2017. With this update, members will have lower out-of-pocket costs when receiving services at these hospitals.

Blue Options v.5:

Hospital Previous Blue Options Tier New Blue Options Tier Reason for Tier Improvement
Sturdy Memorial Hospital Basic Benefits Tier Standard Benefits Tier Met moderate cost benchmark
Nashoba Valley Medical Center Standard Benefits Tier Enhanced Benefits Tier Met quality benchmark

Hospital Choice Cost Sharing:

Hospital Previous HCCS Cost Share New HCCS Cost Share Reason for Tier Improvement
Sturdy Memorial Hospital Higher Cost Share Lower Cost Share Met moderate cost benchmark

If you have any questions, Please contact your account executive.

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